NDC codes

FDA NDC Directory
Product NDC (as listed)50742-515Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50742-0515Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
50742-515-305074205153030 POUCH in 1 BOX, UNIT-DOSE (50742-515-30) / 1 PATCH in 1 POUCHMarketed from Dec 6, 2017

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Nitro-Dur
Generic name (nonproprietary)
nitroglycerin
Active ingredients
Nitroglycerin — 60 mg/1
Dosage form
Patch
Route
Transdermal
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 020145
Marketing start
Listing expires
Other FDA classes
Nitrates (Chemical structure)Vasodilation (Physiologic effect)
Identifiers
Product ID 50742-515_fcec90fc-83c9-15e2-e053-6394a90ab2d5SPL ID fcec90fc-83c9-15e2-e053-6394a90ab2d5SPL set ID 5e15296c-5acd-4bcc-80a8-b49cb1ef3eb0RxCUI 486146, 486148, 486152, 861657, 899521, 899607, 899642, 899660, 899688, 899690, 899703, 899705UNII G59M7S0WS3
Pharmacologic class
Nitrate Vasodilator

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Transdermal products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N450742051530 followed by a unit qualifier and the quantity

Package 50742-0515-30. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

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